Sunday, August 20, 2017

After a dorsal hump, a bulbous tip is the most common complaint from patients seeking rhinoplasty. Bulbous tips are typically due to the shape of the nasal tip cartilage being too broad, wide, or bowed. There are many different ways to refine the nasal tip by removing cartilage, reshaping cartilage with sutures or stitches, and using cartilage grafts from the septum.

With many ethnic rhinoplasty patients, the broad nasal tip or bulbous tip may be due to thick nasal tip skin. This skin can be defatted and debulked to provide a more refined and narrowed nasal tip. However, ethnic rhinoplasty patients with thick nasal tip skin must understand that their tip can never look as refined as someone’s of Northern European heritage.